Take advantage of special savings on Juvederm
January 31, 2012Juvederm is one of the most popular injectable treatments performed in the United States. Areas commonly treated include the lips, marionette lines (nasolabial folds), eyelids and cheeks. Results are directly related to the amount of filler added. Nonetheless, patients sometimes settle for a less than optimal result because of the cost of obtaining more Juvederm. If you are one of those people, take advantage of Dr. Jejurikar’s February special, available at both the Dallas (Dallas Plastic Surgery Institute) and Plano (Legacy Plastic Surgery Institute) offices. If you call in the month of February to schedule your appointment, you will be eligible to take advantage of special savings on Juvederm, with the price of the second syringe half off the price of the first!
For more information, do not hesitate to contact Dr. Jejurikar’s office at 214-827-2814.
Posted in Injectable fillers | Leave a comment
Nicotine patches and gum do not help smokers quit for good
January 10, 2012Nicotine and tobacco addiction is a major problem for any patient looking to have elective cosmetic surgery. As I tell all my patients, the risks of healing complications are significantly higher in smokers, particularly for operations that require lifting up of large amounts of skin (such as facelift, breast lift, tummy tuck, etc.). Patients often time seek help to quit smoking before surgery, turning to such treatments as electronic cigarettes (e-cigarette), behavior modification therapies, and medications such as Chantix or Zyban.
Treatments that have been frequently used as well are nicotine replacement therapies, including nicotine patches and gums. In a study published yesterday, researchers from Harvard found that two-thirds of patients who quit smoking resumed smoking within four years, even when used in conjunction with behavioral modification. The study looked at nearly 800 patients and found the same relapse rate in people who used no smoking-cessation aids.
While the results of the study are certainly discouraging for patients looking to quit smoking permanently, the do not contradict the very real short term effects these products can have. Patients may be better off utilizing other forms of therapy, particularly medications such as Chantix and Zyban.
To learn more about plastic surgery at Dallas Plastic Surgery Institute, contact Dr. Jejurikar’s office at 214-827-2814. To learn more about this study, click this link.
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Restylane is now FDA-approved for lip augmentation
October 15, 2011Medicis Aesthetics, the manufacturer of Restylane, announced on October 11 that Restylane has now received FDA approval to be used for lip augmentation. Although Restylane has been used extensively for lip augmentation, doing so was considered an off-label indication. Restylane, a hyaluronic acid dermal filler, was first approved in 2005 for mid to deep dermal injection for the correction of moderate to severe facial wrinkles and folds, and has been used off-label for lip augmentation.
An FDA advisory panel had previously voted 6-0 with 1 abstention that the benefits of using Restylane as an injection for lip augmentation outweighed its risks, and that the filler was safe and effective for this indication. The panel reviewed the results of a study of 135 patients who received Restylane and 45 patients with no treatment. Almost all patients (99%) experienced adverse events, which included bruising, redness, swelling, pain, tenderness, itching, and skin exfoliation. Of those who were treated, 15% experienced adverse events (typically swelling and tenderness) that lasted more than 15 days.
Restylane and Juvederm are the most commonly utilized hyaluronic acid fillers in the United States. To learn more about treatments with Restylane and Juvederm, contact Dr. Jejurikar’s office at Dallas Plastic Surgery Institute at 214-827-2814.
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When is a Dallas Breast Reduction Medically Necessary?
October 13, 2011Women with large breasts (macromastia) often suffer significant pain and discomfort from their large breasts. Dallas breast reduction is an effective treatment for symptoms related to large breasts. In addition to providing physical comfort, Dallas breast reduction can also improve the appearance of the breasts by performing a simultaneous breast lift.
Symptoms of macromastia often include severe neck, shoulder and upper back pain, painful grooves from their bra straps, and rashes, wounds and infections (intertrigo) within the folds of their breasts. Although Dallas breast reduction has been demonstrated to alleviate symptoms associated with large breasts and improve quality-of-life, the amount of tissue required for excision to provide medical benefit has yet to be demonstrated. It is not uncommon for me to believe that a Dallas breast reduction will help my patient, only to have the patient’s insurance company disagree.
Breast reduction surgery is considered by the American Society of Plastic Surgeons to be medically necessary when symptoms of back pain, neck pain, shoulder pain, intertrigo, breast pain, and numbness of the extremities are documented and related to the patient’s large breasts. The recommendations of the ASPS are based on outcomes studies that essentially demonstrate no correlation between amount of breast tissue excised and relief of preoperative symptoms. Unfortunately, when symptoms are self-reported and subjective, it is difficult to determine medical necessity as, often, breast reduction is a cosmetic procedure. As a result insurance companies usually require extensive documentation of symptoms, as well clinical notes documenting failure of conservative treatment, including supportive bras, NSAIDs such as ibuprofen, physical therapy and chiropractic treatments. In addition, most insurance companies have a minimum tissue excision requirement that must be met to demonstrate medical necessity for Dallas breast reduction surgery.
If you’d like to learn more about Dallas breast reduction surgery, contact Dr. Jejurikar’s office at 214-827-2814 or via the Web.
Posted in Breast and Body Surgery | Leave a comment
Dallas Plastic Surgery Institute Web Site Introduction
October 11, 2011I’ve always been proud to be a member of Dallas Plastic Surgery Institute and am happy to announce that we now have a Web Site providing a general view of our group, as well the services and facilities we offer our patients. To learn more about Dallas Plastic Surgery Institute, visit dpsi.org.
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Introducing Clear + Brilliant
September 27, 2011Solta Medical, the makers of Thermage and Fraxel, have recently introduced a new laser geared toward younger patients looking to prevent the signs of aging. The launch of Clear + Brilliant, a fractionated laser with minimal downtime, introduces a new category of laser treatments geared toward patient who are looking for more than run-of-the-mill spa treatments, but, as of yet, do not require the full transformative effects of more aggressive laser treatments, such as Fraxel.
Early reviews have been quite favorable. We are proud to offer Clear + Brilliant at EpiCentre Park Lane. Call today to schedule an appointment!
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Check out our new Dallas Mommy Makeover Site!
September 18, 2011There’s so much to know before undergoing a Dallas mommy makeover, which usually consists of a tummy tuck, liposuction, and some form of breast surgery, including breast augmentation, breast lift or breast reduction.
A mommy makeover performed at Dallas Plastic Surgery Institute usually takes between 4 and 7 hours and is performed under general anesthesia. Most patient’s stay overnight after Dallas mommy makeover in a postoperative recovery facility and miss between 1-2 weeks of work. No strenuous exercise is allowed for six to eight hours after surgery.
To try to cover the nuances of Dallas mommy makeover in more detail, we are proud to announce the re-release of www.mymommymakeoverdallas.com, our site dedicated to all things mommy makeover! To learn more, don’t hesitate to click on to the site or call our office to schedule a consultation with Dr. Jejurikar.
Posted in Breast and Body Surgery | Leave a comment
Dallas Silicone Breast Implants & MRI – What you need to know
September 12, 2011When the Food & Drug Administration (FDA) approved silicone breast implants for cosmetic breast augmentation in 2006, it did so with recommendations regarding screening for breast implant rupture. Specifically, the FDA recommended that patients get a screening magnetic resonance imaging test (MRI) for breast implant rupture three years after breast augmentation and then every two years thereafter.
The reason for this recommendation is that, often, ruptured silicone breast implants are not detectable on physical examination. In these cases, MRI is the most sensitive method for detecting silicone breast implant rupture. Unfortunately, though, MRI can be an expensive exam and the costs usually are not covered by third-party insurance companies. Furthermore, the significance of a previously undetected silicone breast implant rupture is not clear, as it is not certain that the risks associated with ruptured implants is greater than the risks of the operation needed to take them out.
Last month, an expert FDA panel spent two days re-visiting the safety of silicone breast implants. The FDA’s chief scientist for devices, Dr. William Maisel, reaffirmed the safety of silicone breast implants. The panel agreed that patients no longer need to be told that they should get an MRI three years after getting silicone breast implants and every two years thereafter. The panel confirmed that MRI remains the gold standard for screening for silent breast implant rupture. This recommendation, however, has yet to be adopted by the FDA at large.
So what’s the conclusion? For now, the FDA recommendations from screening MRI three years after silicone breast augmentation and every two years thereafter remain intact. This guideline, though is a recommendation – not a requirement. Given the recommendations of the FDA’s expert panel, every patient should determine their own comfort level for living with a silent rupture, and make their own decision based on this.
For more information, please see the original article from the New York Times.
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Special Event at Dallas Plastic Surgery Institute – 09/29/11
August 29, 2011Posted in Miscellaneous Topics | Comments Off
Dallas Facelift – what do I need to know?
August 7, 2011Facelift remains the gold standard for facial rejuvenation. Although many great noninvasive (Juvederm, Restylane. Botox, Ulthera, Thermage, etc.) and minimally invasive (Fraxel laser, chemical peel, dermabrasion) options exist for facial rejuvenation, none of these treatments can achieve the same level of improvement that are achievable with a facelift. So, assuming you accept this, and are prepared to undergo surgery, what do you need to know before your facelift at Dallas Plastic Surgery Institute?
First, don’t rush your recovery. Vitamin supplements, including Bromelain Sulfate and Arnica Montana, can help bruising and swelling resolve more quickly after surgery, but don’t expect miracles! You should expect bruising and swelling for at least 10-14 days after surgery and, in some cases, up to three weeks. Planning to have surgery a few days before a big vacation or an important work meeting is undoubtedly a set up for a problem.
Two, make sure your spouse or significant other is supportive of surgery. The swelling and bruising can be considerable after surgery. Having a demonstrably angry or agitated spouse can only add to natural anxiety that you will have immediately after surgery. In addition, it’s incredibly important to have someone trusted help you do relatively simple things, such as get out-of-bed or bathe.
Three, make sure you fill all prescriptions and have read your postoperative instructions prior to surgery. Dallas facelift surgery is commonly combined with other procedures, including eyelid lift (blepharoplasty), laser resurfacing, and brow lift. A variety of different treatments will be needed after surgery and it’s important that you have a thorough understanding prior to surgery.
Ultimately, Dallas facelift surgery remains one of the most popular plastic surgery procedures at Dallas Plastic Surgery Institute. With proper postoperative care, the results often are spectacular! For more information, do not hesitate to contact Dr. Jejurikar at Dallas Plastic Surgery Institute at 214-827-2814.
Posted in Facial Surgery | Leave a comment ← Older posts
